Question

Mrs. Burton is in an MA-PD plan and was disappointed in the service she received from her primary care physician because she was told she would have to wait five weeks to get an appointment when she was feeling ill. She called you to ask what she could do so she wouldn’t continue to have to put up with such poor access to care. What could you tell her?

Answer 1

Explanation:

Some medicare plans cover emergency room care, I would tell her to do just that, ER staff will chart as medically necessary for her to seek ER care approved by her PCP (primary care provider), I believe you can only change your PCP once per year...

Answer 2

Answer:

She could file a grievance with her plan to complain about the lack of timeliness in getting an appointment.

Explanation: